# JAMSHEED JAMES SHAMLOO MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MT. VERNON MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154645398
- **Authorized official:** DR. JAMSHEED J SHAMLOO M.D. (OWNER)
- **Authorized official phone:** (909) 422-8015

## Contact information

- **Practice address:** 1023 S MOUNT VERNON AVE, COLTON, CA 92324-4202
- **Practice address phone:** (909) 422-8015
- **Practice address fax:** (909) 422-0625
- **Mailing address:** 1023 S MOUNT VERNON AVE, COLTON, CA 92324-4202
- **Mailing address phone:** (909) 422-8015
- **Mailing address fax:** (909) 422-0625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A89604 | CA | Yes |

## Other

- **Enumeration date:** 03/17/2010
- **Last updated:** 06/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8440339 | — | CA |